Individual
JESSICA MANGIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 MEADOW WOOD LN, FARMINGDALE, NY 11735-6704
(516) 672-1475
Mailing address
15 MEADOW WOOD LN, FARMINGDALE, NY 11735-6704
(516) 672-1475
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86242941
NY
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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